NOA Medical NOA Elite EX Long Term Care Bed with Mahogany Head and Foot Panels Instruction Manual

NOA Elite EX Long Term Care Bed with Mahogany Head and Foot Panels

SPECIAL NOTES:
WARNINGS/CAUTION NOTICES in this manual apply to hazards or unsafe practices, which could result in personal injury and/or property damage.
NOTICE:
The information in this document is subject to change without notice. Check all parts for shipping damage before using. DO NOT USE IF DAMAGED. ONLY USE AUTHENTIC NOA REPLACEMENT PARTS. Contact NOA Medical Industries Inc. Customer Service 1 636-239-7600 and the freight carrier for further instruction.
This electric bed has been engineered to provide reliable operation.
This bed has been thoroughly tested and inspected prior to shipment.

WARNINGS: DO NOT OPERATE THIS EQUIPMENT WITHOUT FIRST READING AND UNDERSTANDING THIS MANUAL. IF YOU ARE UNABLE TO UNDERSTAND THE WARNINGS, CAUTIONS, OR INSTRUCTIONS, CONTACT A HEALTH CARE PROFESSIONAL OR A QUALIFIED TECHNICIAN BEFORE USING THIS EQUIPMENT. OTHERWISE INJURY OR DAMAGE MAY RESULT.

• The correct bed height when unattended is based on the resident’s knee to floor height, mobility, and cognitive level. For residents with good mobility and cognition, the top of mattress should be at a height so that the resident’s feet are flat on the floor and the angle between the thighs and calves is 90 degrees. Bed height and the resident’s abilities must be evaluated by a medical professional.
• If the resident’s physical or mental state may lead to entrapment, the sleep deck should be left in the flat position when unattended.
• Do not use near explosive gases.
• Possible fire hazard when used with oxygen administering equipment other than nasal or masked type.
• When using nasal or masked type administering equipment, oxygen or air tubing MUST be routed and secured properly to ensure tubing does not become entangled, kinked, or severed during normal operation of the bed.
• Close supervision by a caregiver is necessary when this product is used near CHILDREN OR PEOPLE WITH DISABILITIES.
• NEVER PERMIT ANYONE UNDER THE BED AT ANY TIME.
• When operating/moving the bed always ensure that the individual utilizing the bed is positioned properly within the confines of the bed. DO NOT let any extremities protrude over the side or between the rails when performing these functions.
• After installation and before use, make sure all attaching hardware is securely tightened.
• Pendant cord must be routed and secured properly to ensure cord does not become entangled and damaged during normal operation of the bed.
• Keep all moving parts free from obstruction (i.e. blankets/sheets, pads, tubing, wiring, etc.) which may get tangled around the bed, side rails, or legs during operation of the bed.
• Beds are equipped with locking casters. Casters should be locked at all times except when moving the bed.
• The mattress should be a hospital type mattress to allow for proper bed articulation. The mattress must be properly sized to meet entrapment zone dimensional guidelines published by the FDA.
• These side rails are not for pediatric use.
• The side rails are NOT intended and may NOT be used as a restraint. If necessary, a physician or healthcare professional should be consulted for other means of safe restraint.
• When using safety side rails, if excessive side pressure is exerted on them they can be deformed or broken. Do not use side rails as handles to move the bed.
• Never permit more than one person in/on the bed at any time.
• Body weight should be evenly distributed over the surface of the bed. The bed weight capacity is 600 pounds. This is the total weight of the resident, mattress, bedding, head and foot boards, side rails and any other accessories.
• The bed is provided with an additional safety feature of a protective earth ground. The electrical cord should only be plugged into a GROUNDED 110/120V outlet. DO NOT ALTER THE PROVIDED PLUG. If the plug does not fit the existing outlet, a licensed electrician should install a correct outlet. Never operate the bed if it has a damaged cord or plug.
• Unplug the power cord when performing any maintenance on the bed.
• Do not open any actuator, pendant, or control box. If these units are opened the warranty is voided.
• The Safety Lock provides the resident with a stable and secure bed, providing easy access in and out of the bed. Check that the Safety Lock is engaged and that the bed is solidly in place before leaving the bed unattended or before attempting resident transfers into or out of the bed.
• The Safety Lock is not intended to be used on a sloping floor or building access ramp. Use of the Safety Lock on a sloping floor or building access ramp could result in injury or death.
• The Safety Lock should be locked at all times except when the bed is being moved.
• For maximum resident safety, caster locks (if available) should be used in addition to the Safety Lock system.

REDUCING THE RISK OF ENTRAPMENT

The Hospital Bed Safety Workgroup (HBSW) in partnership with the FDA has recognized potential entrapment zones in hospital bed systems and has developed dimensional guidance to reduce the risk of entrapment. The FDA
considers the term “hospital bed system” to encompass the bed frame and its components, including the mattress, bed side rails, head and foot boards, and any accessories to the bed.

The entrapment zones involve the relationship of components controlled by the healthcare facility or individual user. Compliance to the dimensional guidelines for reducing the risk of entrapment is primarily the responsibility of the healthcare facility or the individual user.
Anyone having any involvement with hospital bed systems should review and understand the FDA guidelines.
These guidelines, entitled “Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment -Guidance for Industry and FDA Staff,” are available at the FDA website.

STEPS TO PREVENT BED FIRES

• Inspect the bed’s power cord for damage.
• Connect the power cord directly into a wall-mounted outlet that is in good working order, with no cracks or chips. The plug should fit tightly into the outlet. The ground pin should be intact and secure.
• Do not connect the bed’s power cord to an extension cord or to a multiple-outlet strip.
• Do not cover any power cord with a rug. Heat may build up or the cord may be damaged.
• Inspect the floor beneath the bed for buildup of dust and lint. Ask housekeeping to clean if necessary.
• Inspect the resident’s bed controls, looking for signs of damage where liquids could leak in.
• Test the bed and its controls, including resident lockout features, to ensure that the bed can move freely in both directions without damaging any cords.
• Check monitors and other resident equipment for signs of overheating or physical damage.
• Keep linens and clothes away from power sources.
• Tell maintenance staff about any unusual sounds, burning odors, or unusual movement of a bed.
• If you suspect overheating, follow your facility’s policy for fire safety and get the resident to a safe area if necessary.

SPECIFICATIONS AND CONDITIONS

Note: All dimensions and weights are approximate unless otherwise noted.

Physical Specifications

Locating Your Serial Number

INSTALLATION

Required Tools
(1) – #2 Phillips Head Screwdriver

Hardware Bag Contents
(8) – ¼ – 20 x 1.5” Machine Screws
(8) – ¼ – 20 Insert Cap Nuts
(1) – Adjustable Cable Clamp
(1) – #10-12 x ¾ Wood Screw

Upon receipt of your new bed, carefully inspect the bed and accessory components for any damage received in transit. Notify the NOA Customer Service at 1 636-239-7600 immediately if any product or component has been damaged or is missing from your shipment.

Installing the Head and Foot Boards

On large orders, beds are shipped with transport legs inserted in the foot board mounting tubes. Remove and discard these legs and replace with foot board brackets. Insert brackets into the mounting tubes until snap buttons align in the holes as indicated below. Ensure that snap buttons are seated in the proper holes prior to bed use.

Normally the cap nuts are installed in the head and foot boards at the factory. If they are not installed at the factory insert the cap nuts provided in the hardware bag into the pre-drilled holes in the head and foot boards using a rubber mallet. If laminated on one side only, install the nuts on the laminated side of the board. Attach head and foot boards to the front face of the vertical bracket using the provided screws. Tighten all hardware.

Securing the Power Cord

Approximately 8 feet of exposed power cord is provided with the bed. A cable tie has been supplied so that excess cord can be maintained and secured to the back of the head board. When securing the power cord, ensure that an adequate loose length is maintained to allow for the full range of motion of the bed.

Installing the Corner Mattress Retainers

Corner Mattress Retainers (PN 3040025) should be installed at each corner of the bed to assist in maintaining proper alignment of the mattress during bed use. In order for the retainers to be effective, beds should be used in conjunction with a hospital grade mattress designed to allow for bed articulation. The mattress should be 6” thick with a width and length conforming to the sleep deck size. Mattress retainers should be installed prior to installation of any deck mounted side rails or assist bars.

1. Locate (2) ¼” holes at each bed corner in the outer angle of the head and foot deck. Insert each leg of the Mattress Retainer.
2. With the leg of each side of the Mattress Retainer positioned in the ¼” holes, rotate the Retainer towards the corner of the bed while slowly inserting the legs further into the holes.
3. When fully rotated, press the Mattress Retainer into position and then place the mattress on the rib-deck sleep surface. Check that all corners of the mattress are within the Retainers. A slightly compressed fit is desired.

Ensure that the Retainers hold the mattress securely to prevent mattress slippage during head and foot deck articulation.
Install accessory components as per their instructions.
Verify that there are no gaps between the mattress, head and foot boards, side rails, or any other accessories wide enough to entrap a resident’s head, neck, or body. Additional information regarding bed entrapment may be obtained from the U.S. Food and Drug Administration Center for Devices and Radiological Health web site.

Your bed is ready for use. The bed should be located and casters locked while the bed is in its lowest position. Adequate spacing must be maintained between the wall and the bed to prevent damage to the bed or walls while raising or lowering the bed. Check to be sure that vertical movement of bed does not interfere with the power cord or plug.

Bed Transport:

The bed features a patented rolling base that allows it to be rolled or locked at any bed height. In order to lock the bed, activate the brakes located on the twin wheel casters at the head of the bed and safety lock. To roll the bed, disengage brakes. Activating caster brakes does not disengage bed functions.

Caution:
If casters are not locked swivel and wheel rotation can allow for bed motion with little or no resistance. This can result in loss of balance, fall, and personal injury. Ensure that the casters are locked to prevent any bed movement during resident transfer and/or treatment.

BED OPERATION

Bed Positioning

Bed functions are operated with a 12 button pendant (4040234). Button functions on the hand held pendant control are clearly identified with universal icons. The hand control is provided with an attached bracket for suspending the control from side rails or bed ends. PRIOR TO RAISING OR LOWERING THE BED AND/OR SIDE RAILS, CHECK TO ENSURE THAT THE CORD FOR THE PENDANT CONTROL HAS NOT BECOME ENTANGLED IN BED PARTS. THE CORD SHOULD BE KEPT CLEAR OF MOVING PARTS AT ALL TIMES.

Sub Acute Care

Trendelenburg/Reverse Trendelenburg Positioning – This feature allows for the immediate adjustment of the bed into an incline of up to 13 degrees in either Trendelenburg or Reverse Trendelenburg positions. Trendelenburg positioning is controlled with two buttons located on the twelve button pendant. To return to a normal horizontal bed position press the opposite button, the bed will stop when it is level.

Cardiac Chair Positioning – The cardiac chair position can be achieved by pressing the comfort chair button or by positioning the bed in Reverse Trendelenburg and raising the head and foot sections to desired levels.
Attention: Ensure the head end of the bed is free to roll and at least 7 inches away from any obstructions before operating Trendelenburg or Reverse Trendelenburg features.

Deck Expansion

1. Locate knob under the deck, pull knob down, and pull deck out to desired width.
2. Release knob to lock deck into place.
3. Repeat steps 1 and 2 on both sides of each deck.

ACCESSORIES AND OPTIONS

Optional Foot Board Control

An optional Lock Out Foot Board Control (4040235) with Sub Acute functions is available.

Connecting the Optional Foot Board Control Cable:

1. Plug the Foot Board Control into the Foot Board Control Cable.
2. Plug Foot Board Control Cable (4040236) into the Foot Board Control socket on the Control Box.

SERVICING

Troubleshooting

2.        Cut/damaged power cord.

3.        Loose plug for pendant. Cut/damaged pendant cord.

4.        Actuator plug not connected.

| 1.       Check plug to receptacle.

2.       Check power cord for damage.

3.       Check pendant cord for damage.

4.       Check actuator connection to control box. Inspect actuator cord for damage.

Actuators operate, but the wrong movement occurs

| 1.     Cut/damaged pendant cord.| 1.     Inspect pendant cord for damage.
One or more actuators do not function| 1.        Loose or unplugged connection of actuator cord to control box.

2.        Cut/damaged actuator cord.

3.        Defective actuator.

4.        Defective control box.

| 1.        Check actuator plug to control box.
2.        Inspect actuator cord for damage.

3.        Replace actuator.

4.        Replace control box.

**** Bed is not level when operating Hi/Low functions| 1.     Actuators are out of synchronization.| 1.     Run bed to full down position and continue to hold button for 3 seconds (after bed reaches full down position).

Control Box Socket Identification

Steps for Isolating Electrical Problems

1. Check all connections.
2. Exchange pendant with a known working pendant.
3. Exchange actuator plugs at known working control box ports.
4. Check actuator with a known working control box.

Bed Diagram

Note:

• N.S. – Not Shown
• *Indicates part is shipped in hardware box (PN 7000043BEI)
• BEI means Beige

Replacement of Actuators

1. With help, roll the bed onto its side.
2. Unplug actuator cord from control box.
3. Remove hairpin and clevis pins. Save these parts for reuse.
4. Lift actuator(s) out of brackets
5. Place actuator(s) in brackets.
6. Put hairpin and clevis pin through bracket and actuator.
7. Plug actuator cord into control box.
8. With help, roll bed right side up.

MAINTENANCE AND CLEANING

Maintenance and cleaning procedures should be performed at least once a year or as required.

Cleaning and Disinfecting The Bed

1. Unplug power cord before cleaning or performing maintenance on electric bed.
2. Do not submerge the pendant in liquid.
3. Do not steam or pressure wash the bed or any of its components.
4. Wipe down actuators, control box, and pendant with a damp, well wrung out cloth or with a disinfecting wipe.
5. Excess water or liquid may damage electrical parts and poses a shock hazard.
6. Wipe down the remainder of the bed with a disinfectant.
7. Allow the bed to dry completely before using.

Periodic Inspection

1. Perform the procedure “STEPS TO PREVENT BED FIRES” listed in this manual.
2. Review “REDUCING THE RISK OF ENTRAPMENT” listed in this manual.
3. Review and inspect for compliance to the “WARNINGS” listed in this manual.
4. Check casters to ensure they lock, if applicable, and roll properly.
5. Inspect all bed components for damage or excessive wear.
6. Visually examine all welds for cracks.
7. Inspect the deck components for bending or damage.
8. Check the motor actuator shaft and its connections for bending, damage, or excessive wear.
9. Check actuator ends and its mounting hardware for bending or excessive wear.
10. Inspect all bolts and fasteners. (Do not over tighten bolts at pivot points.)
11. Check all cords for cuts or other damage.
12. Make sure all plugs are fully seated.
13. Make sure all cords are free of moving parts.

LIMITED WARRANTY

The Manufacturer warrants to the original user (Customer) all products manufactured by the Manufacturer to be free from defects in material and workmanship under normal use and service for a period as specified below. If such a defect appears and Customer has given immediate written notification of same, the Manufacturer shall replace or repair such part at the Manufacturers option. The Manufacturer will require the return of the defective part to establish the claim. The Manufacturer’s obligation under this warranty shall be limited to said replacement and/or repair. Installation and freight costs for replaced or repaired items remain the responsibility of the Customer. This warranty does not cover failure due to negligence, accident, deliberate abuse, nor improper installation and/or maintenance. Modifications made to products (including modifications without the expressed written consent of the Manufacturer) shall void this warranty in its entirety.

NO FURTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE NOT SPECIFIED HEREIN, ARE MADE BY THE MANUFACTURER, AND THIS WARRANTY SETS FORTH THE FULL EXTENT OF THE LIABILITY ARISING FROM THE MANUFACTURE, USE OR SALE OF THE PRODUCTS AND MATERIALS SOLD HEREUNDER. No allowances will be made for delays or loss of profit, nor for any other special, indirect or consequential damages or injuries, whether based on tort or contract.

Applicable warranty periods commencing from date of shipment from NOA are as follows:

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